NPI | 1710283189 |
---|---|
Doing Business As | ST ANTHONY BREAST CARE SERVICES |
Entity Type | Organization |
Authorized Contact | CRYSTAL PENA Insurance Credentialing Specialist 405-272-7524 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208600000X Surgery |
Enumeration Date | 2011-02-02 |
Last Update Date | 2011-07-07 |